Applications of angiography in differential diagnosis of misdiagnosis as Budd-Chiari syndrome of occult constrictive pericarditis

doi:10.3877/cma.j.issn.2095-5782.2015.03.002

Abstract

Abstract:

Objective

To evaluate the value of angiography in differential diagnosis of constrictive pericarditis, misdiagnosed patients with Budd-Chiari syndrome.

Methods

A retrospective analysis was performed in 378 patients who were early diagnosed as Budd-Chiari syndrome, for all patients had underwent angiography and intraoperative manometry conventionally.

Results

There were 5 cases showed inferior vena cava and hepatic venous lumen patency, but its pressure along with right atrial pressure significantly higher than the normal. During 1 to 24 months follow-up, these 5 patients were finally performed part or all of pericardium dissection due to the different degrees of pericardial calcification. Pathological findings: 4 tuberculous cases and 1 purulent case, they supported for diagnosis of constrictive pericarditis.

Conclusions

It is proposed that conditional units should perform inferior vena cava, hepatic vein and atrioventricular cardiac angiography and manometry for discriminating associated vascular disease.

Key words: Budd-Chiari syndrome, Angiography, Constrictive pericarditis

Hongwei Zhao, Fuquan Liu, Zhendong Yue, Lei Wang, Zhenhua Fan, Mengfei Zhao, Chengbin Dong, Zhiwei Li, Lingxiang Yu. Applications of angiography in differential diagnosis of misdiagnosis as Budd-Chiari syndrome of occult constrictive pericarditis[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2015, 03(03): 119-122.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2015.03.002

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2015/V03/I03/119

Figures/Tables 3

References 11

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患者编号	下腔静脉	肝静脉	右心房	右心室	肺动脉
1	35	38	25	30	28
2	32	36	30	34	31
3	23	37	32	38	35
4	24	31	29	34	30
5	28	35	33	37	32

患者编号	下腔静脉	肝静脉	右心房	右心室	肺动脉
1	35	38	25	30	28
2	32	36	30	34	31
3	23	37	32	38	35
4	24	31	29	34	30
5	28	35	33	37	32

患者编号	检查方法	1个月	3个月	6个月	12个月	18个月	24个月
1	X线	-	-	-	-	-	+
?	CT	-	-	-	+	+	+
2	X线	-	-	-	-	-	+
?	CT	-	-	-	+	+	+
3	X线	-	-	-	-	-	+
?	CT	-	-	+	+	+	+
4	X线	-	-	-	-	+	+
?	CT	-	-	-	+	+	+
5	X线	-	-	-	-	-	+
?	CT	-	-	-	-	-	+

患者编号	检查方法	1个月	3个月	6个月	12个月	18个月	24个月
1	X线	-	-	-	-	-	+
?	CT	-	-	-	+	+	+
2	X线	-	-	-	-	-	+
?	CT	-	-	-	+	+	+
3	X线	-	-	-	-	-	+
?	CT	-	-	+	+	+	+
4	X线	-	-	-	-	+	+
?	CT	-	-	-	+	+	+
5	X线	-	-	-	-	-	+
?	CT	-	-	-	-	-	+

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